Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,365.16 / $6,918.31	Facility		$891.25	$4,365.16	$6,918.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,148.15	Professional		$794.33	$933.25	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,290.87 / $2,818.38	Professional		$2,187.76	$2,290.87	$2,818.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,513.56 / $2,511.89	Facility		$1,202.26	$1,513.56	$2,511.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,698.24 / $10,000.00	Professional		$891.25	$1,698.24	$10,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,187.76 / $2,187.76	Professional		$1,995.26	$2,187.76	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,659.59 / $1,949.84	Professional		$1,096.48	$1,659.59	$1,949.84
United Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $5,370.32	Facility		$5,370.32	$5,370.32	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $2,630.27	Professional		$1,023.29	$1,819.70	$2,630.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $2,344.23	Professional		$1,905.46	$2,238.72	$2,344.23